Esthetic Management Research Articles

Aesthetic Management of Coronal Dilacerations with Enamel Hypoplasia of Permanent Maxillary Central Incisors:

Dilaceration is a peculiar developmental dental anomaly. It is associated with traumatic events of deciduous teeth affecting the permanent tooth buds. It is chiefly a precipitous change in the axial inclination between the crown and the root of a tooth. Dilacerated crown, a rare clinical presentation, is a result of the non-axial displacement of pre-formed hard tissues of a developing crown at an angle to its longitudinal axis. It conspicuously impacts the appearance of patient. Enamel hypoplasia is primarily due to the trauma or infection of primary predecessor tooth resulting in a quantitative defect in enamel of permanent successors. Occasionally, both conditions; dilacerated crown and enamel hypoplasia can occur concomitantly producing many unpropitious outcomes. This particular case is about a 14-year-old boy presenting to the Department of Operative dentistry and Endodontics for the esthetic management of anomalous maxillary central incisors. These anomalous teeth were conservatively managed using direct composite veneers.

A Comprehensive esthetic Management of Fluorosed teeth with use of Microabrasion, In-office Bleaching and Resin Infiltration: A case report

Enamel hypomineralization is a condition that affects the quality of enamel, resulting in a change in its translucency and color. Increasingly, patients are asking for these imperfections to be treated and it is now possible to intervene with minimally invasive methods to restore the aesthetics of these dental elements. In this case report, we report the case of a 23-year-old patient suffering from fluorosis and treated with microabrasion, in-office bleaching followed by resin infiltration. The treatment satisfied the patient and the clinicians.

Aesthetic Surgical Treatment of Large Xanthelasma palpebrarum.

Xanthelasma palpebrarum (XP) is a common eyelid condition. Various treatment modalities exist, each with its own merits and drawbacks. Managing larger lesions poses increased challenges. This study aims to explore the aesthetic surgical management of large xanthelasma palpebrarum. Patients with xanthelasma palpebrarum presenting to our department underwent partial excision of the lesion and debridement of the medullary nucleus under local anesthesia for lesions with a diameter of 6mm or more. Microsurgical scissors were utilized to remove residual subcutaneous lesions. Postoperatively, tie-over bolster dressings were applied. Patients with lipid and glucose abnormalities received corresponding therapy. Bolster dressings were removed on the third postoperative day, with suture removal seven days later. All flaps subjected to subcutaneous medullary debridement exhibited complete viability, with minimal localized eyelid depression early postoperatively and inconspicuous scarring three months post-surgery. No instances of lid ectropion were observed. The eyelid maintained a natural appearance, with a low recurrence rate of xanthelasma palpebrarum. Surgical intervention involving partial excision of the lesion and medullary nucleus debridement offers a satisfactory approach for managing large xanthelasma palpebrarum. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Esthetic Management of Dental Fluorosis: Treatment Approaches

Esthetic Management of Dental Fluorosis: Treatment Approaches

Esthetic management of congenitally missing lateral incisor

Esthetic management of congenitally missing lateral incisor

Esthetic Management of Maxillary Anteriors with Complicated and Uncomplicated F and Uncomplicated Fractures Using Diff es Using Different Fragment Reattachment Approaches

Esthetic Management of Maxillary Anteriors with Complicated and Uncomplicated F and Uncomplicated Fractures Using Diff es Using Different Fragment Reattachment Approaches

The urban aesthetics of graffiti murals: reproducing wall space in China’s urban renewal

In China, as in the West in recent decades to a lesser degree, the semantics of ‘graffiti’ have gradually become an alternative term for graffiti murals in urban renewal. Graffiti murals, through various renewal strategies, reproduce the wall spaces of old towns, factories and villages in Chinese urban areas, giving rise to diverse aesthetic attitudes. Taking Guangzhou, China, as a case study, this article utilizes graffiti mural images defined as ‘graffiti’ by people on social media as the basic material. Visual research methods such as photo evaluation and eye-tracking experiments are employed to analyse the aesthetic attitudes and mechanisms of mainstream street art, which in fact differ from traditional graffiti. The study reveals that people perceive different types of graffiti mural spaces in various ways, with a more positive aesthetic attitude towards urban mural landscapes that exhibit aesthetic coherence. Viewers with embodied practice experiences in ‘graffiti’ show stronger aesthetic emotions compared to those who have not visited the case study location. These differences are further influenced by the aesthetic atmosphere of the environment and the aesthetic practices of different subjects onsite, deviating slightly from the spatial aesthetic operational logic of traditional graffiti. From various perspectives on Chinese ‘graffiti’, the visual methodology constructed in this study provides new insights for the aesthetic management of urban renewal.

Academic visualization study of aesthetic medicine management and related legal research since 2000.

Aesthetics medicine, a controversial branch of clinical medicine known for its high degree of commercialization, faces numerous conflicts, particularly in some developing countries. The global aesthetics medicine industry requires enhancements of its legal and supervision framework and risk management systems. This paper aimed to provide a comprehensive visual analysis of academic achievements related to regulatory and legal issues in the field of aesthetic medicine and to identify its development trends and research hotspots. The Web of Science Core Collection was employed to retrieve relevant studies, resulting in a total of 602 research articles after selection. Utilizing bibliometric methods and CiteSpace, this study analyzed the primary countries, institutions, authors, journals, hotspots, frontiers, and trends in this domain. The findings indicated rapid increases in the number of published papers. The United States emerged as the leading contributor with 131 research papers and the highest intermediate centrality. Eleven keyword clusters were identified, with "adolescence" and "office-based surgery" being the most recent topics. We also analyzed the trends and frontiers of legal research in medical aesthetics. The importance of informed consent has been increasingly emphasized, and research in the field of medical aesthetics has been gradually expanding beyond individual cosmetic procedures. The management system has become more comprehensive, moreover, guidelines and medical laws have been continually published, with research shifting toward a holistic perspective that encompasses patients, medical aesthetic providers, and regulatory authorities in the study of medical aesthetics regulation and legislation. This paper also proposes some innovative directions for future research and applications.

Aesthetic management of lips and perioral region with Hylacross® and Vycross® hyaluronic-acid based fillers: A document of recommendations.

Lip volumization and perioral rejuvenation with hyaluronic-acid (HA) based dermal fillers are generating increasing interest and demand. However, this topic is still having many unmet needs nowadays. This document aimed to provide tips and recommendations that may help clinicians to achieve optimal and more predictable aesthetic outcomes. A multidisciplinary group of aesthetic medicine doctors from Spain and Portugal reviewed the tools used for assessing the patient and aesthetic outcomes, as well as the different techniques and products used in lips/perioral rejuvenation. The consensus panel provided specific recommendations focusing on the basic information to collect before performing the aesthetic procedure; comprehensive approach to lips/perioral region rejuvenation; clinical and aesthetic assessment tools; product and technique selection; patient profile and needs; and safety issues (complications/adverse-events). The rapid evolution of techniques and tools for assessing the patient and aesthetic outcomes, as well as the development of new HA-based fillers makes it necessary to update the clinical recommendations that guide the daily practice of clinicians, particularly those who have less experience with these procedures. This document addressed relevant subjects related to lip/perioral-region rejuvenation to perform the correct procedure, with the appropriate HA-based, on the right patient; to help specialists to obtain optimal and predictable aesthetic outcomes.

In-Office Power Bleaching for the Aesthetic Management of Dental Fluorosis

In-Office Power Bleaching for the Aesthetic Management of Dental Fluorosis

Clinical Performance of Combined Microabrasion, Home Bleaching and Resin Infiltration for the Esthetic Management of Stained Fluorotic Teeth

Clinical Performance of Combined Microabrasion, Home Bleaching and Resin Infiltration for the Esthetic Management of Stained Fluorotic Teeth

Direct Composite Build-up of an Ankylosed, Discolored, and Infraoccluded Upper Lateral Incisor: An Esthetic Management Case Report

Direct Composite Build-up of an Ankylosed, Discolored, and Infraoccluded Upper Lateral Incisor: An Esthetic Management Case Report

A policy instruments palette for spatial quality: lessons from Dutch flood risk management

ABSTRACT Worldwide, more integrated and spatially embedded forms of flood risk management have been advocated. In the Netherlands, this ‘spatial turn’ can be associated with a quest for spatial quality, i.e. making use of existing landscape values to create more liveable, aesthetic and sustainable flood risk management solutions. Reflecting on Dutch flood risk management practice, this paper inventorizes which policy instruments are currently used to strengthen spatial quality, and how involved actors view these instruments. We present empirical insights on common concerns, standpoints and dilemmas from the Dutch Flood Protection Programme (DFPP), a large-scale reinforcement operation to climate-proof the Netherlands’ main flood defences by 2050. Spatial quality here remains a rather ambiguous policy objective, lacking a legally binding framework. Using the NATO-policy instruments’ typology as a starting point, and based on a co-learning process between science and practice, we present an instruments palette that can be used to strengthen spatial quality in flood risk management. Our findings reveal that the DFPP makes use of rather ‘soft’ policy instruments. The actual achievement of spatial quality goals seems to depend largely on the combined project team competencies, guidance and support provided by responsible water authorities, and commitment of other project partners.

SUITABILITY OF PHYSICAL ELEMENTS FOR URBAN PARK UTILIZATION: A STUDY ON RAJEKWESI PARK IN BOJONEGORO URBAN AREA

Urban parks are expected to balance the city ecosystem by reducing air temperature and increasing oxygen levels, becoming a space for community interaction, beautifying the urban environment, and reviving economic activities around it. According to the public green open space (GOS) typology classification, Rajekwesi Park is an urban park in the Bojonegoro Urban Area. However, there are still problematic physical elements in utilizing Rajekwesi Park as a public GOS. One of the issues with the park is the lack of functioning park lights, which limits visibility at night. These problems affect the decline in the ability of urban parks to attract people to engage in activities. It is necessary to measure the suitability of physical elements for urban park utilization in Rajekwesi Park. The evaluation was conducted using scoring analysis techniques with data obtained from descriptive evaluative analysis based on six variables: ecology, water catchment, socio-cultural, aesthetic, economic, and disaster management. Based on the analysis results, it can be concluded that the suitability of physical elements in Rajekwesi Park is in the appropriate category, with a score of 75%. The suitability includes all variables with a suitability score ≥ 59.8%. These variables include ecology with an appropriate class, water catchment with a quite appropriate class, socio-cultural with an appropriate class, aesthetic with an appropriate class, economic with an appropriate class, and disaster management with a quite appropriate class.

Botulinum Toxin to Improve the Prognosis of Skin Transplantation: A Short Narrative Review.

Skin transplantation is a traditional and well-established method of repairing skin loss, especially deep second-degree postburn wounds. Complications often happen amid the healing process, including necrosis and skin contracture, which has raised widespread concern from patients and doctors. Since the first recorded medical application of botulinum toxin for strabismus, accumulating evidence has enclosed all-round potential of botulinum toxin, more than aesthetic management. In recent decades, botulinum toxin also has been revealed to improve the prognosis of skin grafts. This literature review aims to briefly summarize the history and latest advances of its use for skin transplantation.

Cellulite and the Aesthetic Management of the Buttocks and Thighs: 6 Cases Illustrating Targeted Verifiable Subcision as Part of a Multimodal Approach to Lower Body Rejuvenation

Abstract Background In the buttocks and thighs, skin quality, focal adiposity, volume deficiency, skin laxity, and/or textural issues each contribute to overall appearance. For patients undergoing rejuvenation/beautification procedures, global improvement is desired, making multimodal treatment the standard of care to address these mechanistically distinct concerns. Resolution of cellulite depressions is central to patient satisfaction and aesthetic outcomes: without management, the overall aesthetic suffers, and patients are left partially unsatisfied with treatment results. With minimally invasive Targeted Verifiable Subcision (TVS; Avéli [Revelle Aesthetics, Inc., Mountain View, CA]), septa with a confirmed role in dimple formation can be released through mechanically verified subcision, permitting consistent outcomes. Objectives Discuss the application of TVS as part of a multimodal approach to buttock and thigh rejuvenation and share best practices for obtaining optimal improvement. Methods A group of 6 experts in aesthetic plastic surgery and dermatology convened for a 2 h roundtable discussion of select case studies, best practices, and their approaches for obtaining optimal outcomes in clinical practice. Results Clinical cases from 6 patients who presented for buttock and/or thigh rejuvenation/beautification are presented where TVS was applied as part of a multimodal approach. Before and after images, details of patient cases, and a discussion of best practices for patient education and evaluation, treatment planning, technique, safety, postprocedure care, and open research questions are included. Conclusions TVS is emerging as a valuable tool for the treatment of cellulite in the buttocks and thighs that may potentially be used alongside surgical and nonsurgical approaches, often on the same day. Level of Evidence: 4

Dermatological manifestations of HIV: Implications for esthetic and clinical management

ABSTRACT HIV/acquired immunodeficiency syndrome has significant systemic implications, with dermatological manifestations often being the earliest and most visible indicators of infection. These skin conditions can severely impact patients’ quality of life and esthetic health. This review explores a broad range of dermatological changes associated with HIV, including HIV-specific dermatoses such as papular pruritic eruption, xerosis, eosinophilic folliculitis, prurigo nodularis, and papular mucinosis. It also covers common dermatoses such as seborrheic dermatitis, psoriasis, pityriasis rubra pilaris, and hidradenitis suppurativa. In addition, the review examines skin infections (fungal, bacterial, and viral), HIV-related malignancies (Kaposi’s sarcoma and cutaneous lymphomas), and antiretroviral therapy (ART)-related skin changes including exanthematous reactions and lipodystrophy. Special attention is given to the management of these conditions, which often involves a combination of topical and systemic treatments along with ART. The phenomenon of immune reconstitution inflammatory syndrome and its dermatological manifestations are also discussed, highlighting the complexities of managing skin reactions as the immune system recovers. Furthermore, the review addresses ectoparasitic infestations and skin complications arising from intravenous drug use, which are prevalent in HIV patients. Effective management of these dermatological issues is crucial not only for improving physical health but also for addressing the profound esthetic concerns that affect patients’ psychological well-being. Early recognition and appropriate treatment strategies can lead to better patient outcomes and enhanced quality of life. Advances in ART and dermatological therapies continue to improve the care provided to HIV patients, ensuring a comprehensive approach that considers both medical and esthetic aspects of their health. This review underscores the importance of a multidisciplinary approach in managing the diverse and complex skin conditions associated with HIV.

Conservative aesthetic management of dental fluorosis using microabrasion with two different acidic compounds in pediatric patients: A report of two cases

Conservative aesthetic management of dental fluorosis using microabrasion with two different acidic compounds in pediatric patients: A report of two cases

Ovoid pontics in the aesthetic management of the upper anterior sector. Case report

Tooth loss in the anterior sector causes not only functional alterations, but also aesthetic ones that alter people's quality of life, which is why its rehabilitation is one of the most common demands of patients in dentistry. One of the techniques used for the aesthetic management of partial edentulism is ovoid pontics. The clinical case of a 46-year-old female patient treated at the dental and aesthetic surgery postgraduate clinic of the San Gregorio de Portoviejo University, for the rehabilitation of the edentulous upper anterior sector, is reported. After the clinical radiographic study, the diagnosis and a comprehensive and interdisciplinary treatment plan were established, which included: oral prophylaxis, removal of dental calculus, endodontics, dental surgery, surgical procedure for modeling the gingival ridge, and creation of ovoid pontics with Zirconium. The ovoid pontic made with zirconium to rehabilitate the anterior areas of the oral cavity is an excellent option that meets the aesthetic and functional expectations of the patient

Staged esthetic crown lengthening: Classification and guidelines for periodontal-restorative therapy.

This article presents technical guidelines for perio-restorative esthetic crown lengthening, along with a discussion of the biologic rationale. A classification system is proposed to assist in treatment planning and sequencing the surgical and restorative phases. When esthetic crown lengthening is performed as an adjunct to restorative therapy, the surgical approach must be determined by the anticipated position of the restorative margins. The removal of sufficient bone to achieve the desired clinical crown length and preserve the supracrestal gingival tissue dimensions is facilitated by the use of a surgical guide fabricated according to the design of the restorations. A staged approach allows sequencing the provisional restoration to minimize unesthetic sequelae during the healing period. Inadequate bone resection and/or alteration of the soft tissue dimensions results in delayed healing, leading to coronal gingival rebound and biologic width impingement. The identification and preservation of appropriate restorative and biologic landmarks is essential for success in pre-prosthetic esthetic crown lengthening treatment. A staged approach improves the esthetic management during the postsurgical healing and maturation period. A restorative driven classification system for sequencing and staging adjunctive esthetic crown lengthening procedures is presented. Technical guidelines to enhance gingival margin predictability are suggested, accompanied by relevant evidence. In addition, wound healing timelines following gingival and osseous resection are provided.